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Pa. O.C. Rule 6.12 STATUS REPORT
REGISTER OF WILLS OF >~ lG~? COUNTY, PENNSYLVANIA
Name of Decedent: ~~a~v/ n !~• ~~ ~/ ~ ~~
Date of Death: ~~ ~~ r ~~!'~ File Number: ~` ~ ~~~
Pursuant to Pa. O.C. Rule 6.12, I report the following with respect to completion of the administration of
the above-captioned estate:
1. State whether administration of the estate is complete :.................... Yes ^ No
2. If the answer is No, state when the personal representative
reasonably believes that the administration will be complete:
3. If the answer to No. 1 is YES, state the following:
a. Did the personal representative file a final account with the Court? ....... Q~Yes ^ No
b. The separate Orphans' Court No. (if any) for the personal
representative's account is:
/V //l
c. Did the personal representative state an account
informally to the parties in interest? ............................... [Yes ^ No
d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be
filed with the Clerk of the Orphans' Court and may be attached to this report.
Date_
Signature ojPerson Filing this arm
t~ p Capacity: -[~Personal Representative ~ Counsel
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'-'{ ~= ~ Name of rson Fthn thcs Fo ..y~
,,,,,. ~ ~ ~ 4. Address ~ ~~ ~~ /
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FormRW-/0 rev. /0./3.OG